Bezalel Assisted Living Management LLC

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

BEZALEL ASSISTED LIVING MANAGEMENT LLC

Practice address

913 Hay Loft LN
Royse City, TX 75189-2494

Phone

(314) 265-2720

NPI assigned

Mar 15, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adrienne Deniese Brown

Title

Ceo

Phone

(314) 265-2720

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1740049477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 E INTERSTATE 30",
            "address_2": "PMB 1049",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "75189",
            "telephone_number": "314-265-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 HAY LOFT LN",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751892494",
            "telephone_number": "314-265-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEZALEL ASSISTED LIVING MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "DENIESE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-265-2720"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Day Training/Habilitation Specialist in Royse City, TX
• Providers in Royse City, TX by specialty
• Day Training/Habilitation Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.